Khurana
Law Firm

Medicare whistleblower lawyer

Quit tam and whistleblower attorneys battling Medicare and Medicaid fraud in Billings, Montana

Medicare and Medicaid fraud cost Montana taxpayers billions of dollars annually. While the majority of medical companies and drug companies are honest and work within the legal channels, some do not. When fraud takes place, everybody can lose. Medicare and Medicaid whistleblower lawyers help healthcare professionals to submit claims on behalf of the government to report this sort of fraud.

The federal and state governments place a good deal of trust in pharmaceutical and medical providers. When that trust is ill-placed, it depends on regular folks in Montana to come forward and to report scams. People like you.

Work with

Experienced Medicare and Medicaid whistleblower lawyers; representing healthcare employees in Billings, Montana

At Khurana Law Firm, P.C., as skilled Medicare and Medicaid whistleblower legal representatives, we support your heroic choice to come forward to report abuse and fraud in the industry. We know that stepping forward is hard and lots of things might be at stake. When you come to us, your case is kept in the strictest confidence at all times.

With our comprehensive experience representing whistleblowers nationwide, we thoroughly examine your claim, carefully prepare your case, and work tirelessly with you and the federal or state government to help bring deceptive Medicare or Medicaid activity to justice.

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Whistleblower Laws in Billings, Montana

State governments count on individual whistleblowers with knowledge of Medicaid fraud to step forward to hold deceitful activity in check and punish those who commit offenses. A private citizen who knows of deceptive activity against the Montana Medicaid program can file a whistleblower lawsuit under the Montana False Claims Act.

 

A whistleblower, or qui tam lawsuit, is a civil action on behalf of the state of Montana that holds those who conduct deceitful activity liable for their infractions and recovers monetary losses to the state of Montana.

 

If the state of Montana participates in the lawsuit and prosecutes the matter, the whistleblower might be granted in between 15 and 25 percent of their financial recuperation. If the state refuses to take part in the suit, the whistleblower might be awarded in between 25 and 30 percent of the recovery in addition to reimbursement of any costs connected with filling the case.

 

The Montana False Claims Act also protects a whistleblower against any company retaliation as an outcome of filing the lawsuit.

Liability of the Defendant in Billings, Montana

In Montana, the offender can be required to pay up to 3 times the monetary harm caused to the state in addition to penalties of between $5,500 and $11,000 per offense.

Statute of Limitations in Billings, Montana

A whistleblower must submit a claim within ten years of the violation date in order to be considered for a qui tam claim.

Working With an Experienced Whistleblower Attorney

If you have information about fraudulent activity against the Montana Medicaid program, getting the legal advice of a skilled whistleblower lawyer is important. At Khurana Law Firm, P.C., we have more than 20 years of experience in complex lawsuits, qui tam, and whistleblower law throughout the United States. Contact us for a confidential, no-cost assessment to discuss your case and understand your rights and protections under the law.

What is

Medicare Advantage Fraud

Medicare Advantage (MA) plans are privately run healthcare options offering Medicare-eligible individuals additional services that are not included in traditional Medicare. These organizations receive payment from Medicare for each of their members that vary according to their risk adjustment. Some Medicare Advantage organizations overestimate and exaggerate a member’s risk or a patient’s diagnoses to get higher payments from Medicare. They do this by:

Upcoding

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Chart reviews

The MA provider reviews charts to add additional diagnosis codes.

Chart mining

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Adding unsupported diagnosis

Coders are directed to add codes based on other information in the chart.

Not removing old diagnosis codes

The MA provider increases the severity of the patient’s condition, submitting a more serious diagnosis code to get paid by Medicare at a higher rate.

Sham RADV audits

The MA provider reviews charts to add additional diagnosis codes.

Incentivizing doctors

The MA provider mines patient’s charts to look for conditions that are not current but can put as current to increase their payments from Medicare.

Pre-filling charts

Coders are directed to add codes based on other information in the chart.

If you suspect Medicare Advantage Fraud, you are a healthcare worker in Billings, Montana, get in touch with us here.

Khurana Law Firm, P.C.
Medicare Fraud
Medicare Fraud is a Serious Problem

While there are no exact figures concerning Medicare fraud, we do know it is a huge problem. In the fiscal year 2020, the government recovered over $1.8 billion in civil and fraud claims relating to the healthcare industry. 

$ 0
Recovered only in 2020
YOU, the healthcare worker, provide the most vital role in combating Medicare abuse and fraud.

Watching for fraud and abuse within your organization, practice, or provider’s office helps protect everyone from this taxpayer drain and holds abusers accountable.

So what is Medicare Fraud?

Fraud, as it relates to Medicare, is when individuals or entities make false statements or representations to benefit themselves at the expense of the Medicare program. 

Who defrauds Medicare?

Medicare fraud can involve numerous individuals, organizations, and entities, including physicians and nurses, physician-owned groups, drug companies, home health providers, medical device providers, nursing homes, and others.

How do people and companies commit Medicare fraud?

Fraud and abuse come in many different forms from coding abuses, to kickbacks, to altering records, to organized crime infiltration. Each method benefits the abuser while costing taxpayers billions. 

What laws protect Medicare from fraudulent activity?

The False Claims Act, Anti-kickback Statute, Stark Law, and Federal Criminal Healthcare Fraud Statute hold abusers accountable for their fraudulent activity. 

What government agencies protect against Medicare fraud?

Many government agencies strive to protect and promote the integrity of Medicare. These include the Centers for Medicare and Medicaid Services, Center for Program Integrity, US Department of Health and Human Services, and US Department of Justice, all attempting to keep Medicare fraud at bay. But they rely on people like YOU to be their eyes and ears.

How can I help?

If you see abuse and fraudulent activity you should report it. In some cases, you may even be entitled to a reward. If you are a healthcare worker in Billings, Montana,  you can report Medicare fraud when you contact the experienced whistleblower lawyers at Khurana Law Firm, P.C. for a confidential consultation. 

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Report Medical fraud
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WORKING WITH An Experienced WHISTLEBLOWER ATTORNEY; We are proud to represent healthcare workers in Billings, Montana

When you become aware of fraud that may concern Medicare or Medicaid in Billings, Montana, you need the guidance of a skilled whistleblower attorney, someone who can ensure that your claim is totally investigated and submitted accurately and without delay. By dealing with an experienced attorney you are increasing the chance that the government will step in, thus increasing the opportunity for a financial reward. Reporting Medicaid and Medicare fraud is a complex matter –  don’t attempt to do this alone, we are here to help.

At Khurana Law Firm, P.C., we have years of experience as national qui tam lawyers to help in your fight against Medicaid and Medicare scams. After you get in touch our lawyers will evaluate your case on a confidential, no-obligation basis. If we feel that you have a valid claim, we may represent you in a qui tam suit to report the scams and enable you to collect a financial benefit. All whistleblower work is on contingency, you pay absolutely nothing up until there is a settlement. Get in touch with us today to to schedule a confidential consultation.

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